What We Can Do

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There is so very little we can do,
Friends, for these beautiful children of ours,
They will come to grief and suffer and you
And I bow to darkness and evil powers.

The gentle boy who wrote poems goes
For a walk in January and does not return.
His mother and father search the woods. The snow
Is deep. All night their hearts burn

For him. He is found, hanging from a limb,
And the father carries the body of his son
Into the yard and tenderly lays him
On the step. Stephen, O darling one,

See how your parents’ hearts break for you.
There is so very little we can do.
~Gary Johnson

 

Our woodlot lies quiet this time of year.  There have been numerous wind storms that have snapped trees or uprooted them completely and they rest where they have fallen, a crisscross graveyard of trunks that block paths and thwart us on the trails.  Years of leaves have fallen undisturbed, settling into a cushiony duff that is spongy underfoot, almost mattress-like in its softness, yet rich and life-giving to the next generation of trees.

We’ve intentionally left this woods alone for over twenty years.  When we purchased this farm, cows had the run of the woods, resulting in damage to the trees and to the undergrowth.  We fenced off the woods from the fields, not allowing our horses access. It has been the home for raccoon, deer and coyotes, slowly rediscovering its natural rhythms and seasons.

It feels like time to open the trails again.  We’ve cut through the brush that has grown up, and are cutting through the fallen trunks to allow our passage.

We bought this farm from a remarkable 82 year old man who loved every tree here. After spending 79 years on this farm, he treasured each one for its history, its fruit, its particular place in the ground, and would only use the wood if God had felled the tree Himself.  The old farmer directed us to revere the trees as he had, and so we have.  When he first took us on a tour of the farm, it was in actuality a tour of the trees, from the large walnuts in the front yard, to the poplars along the perimeter, to the antique apples, cherries and pear, the filbert grove, the silver plum thicket, as well as the mighty seventy plus year old Douglas fir, Western hemlock and Red cedar trees reestablished after the original logging in the early twentieth century.   The huge old stumps still bore the carved out eight inch notches for the springboards on which the lumbermen balanced to cut away with their axes at the massive diameter of the trees.

He led us to a corner of the woods and stood beneath a particular tree, tears streaming down his face.  He explained this was where his boy had hung himself, taking his life at age fifteen in 1968.   The old farmer still loved this tree, as devastating as it was to lose his son so unexpectedly from one of its branches.  He stood shaking his head, his tears dropping to the ground.  I knew his tears had watered this spot often over the years.  He looked at our boys—one a two year old in a pack on my back, and the other a four year old gripping his daddy’s hand—and told us he wished he’d known,  wished there could have been something he could have done, wished he could have understood his son’s despair, wished daily there was a way to turn back the clock and make it all turn out differently.  He wanted us to know about this if we were to own this woods, this tree, this ground, with children to raise here so there would be something we could do to prevent this from happening again to one of our own.

I was shaken by such raw sharing and the obvious sacredness of the spot.   Though the boy lay buried in a nearby cemetery, a too-young almost-man lost forever for reasons he never found to express to others, it was as if this spot, now hallowed by his father’s tears, was his grave.  This tree witnessed his last act and last breath on earth.

We have left the woods untouched in our effort to let it restore and heal, and to allow that tree to blend into the forest again, surrounded by new growth and life.  We have told this young man’s story to our children and are reminded of the precious gift of life we all have been given, and that it must be treasured and clung to, even in our darkest moments.  This father’s tears watering this woods are testimony enough of his own clinging to life, through his faith in God and in respect to the memory of his beloved boy.

The old farmer and his wife now share the ground with their son, reunited again a only few miles away from our home that was theirs for decades.  Their woods is reopening to our feet, allowing us passage again, and despite the darkness that overwhelms it each winter, the woods bear life amidst the dying as a forever reminder.

And we will not forget.  It is so very little, but the very least we can do.

 

 

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Of Marijuana and Moss

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Washington state grows marijuana crops almost as prolific as it grows moss, particularly since legalization of recreational weed last year.  Retail marijuana outlets now are a common sight on our commute to work, complete with their warm glowing lighting, inviting interiors, plush furniture and fancy display cases.  These are not fringy scruffy deadhead establishments but surprisingly upscale.

It has become a brave new retail world for a drug with side effects as varied as the bodies and brains ingesting it.

As a physician working daily with adolescents and young adults in a college health center, there is no question in the last few months retail marijuana is now the cannabis equivalent to the  growing market for artisan beers and local microbreweries.  There are distinct brands and strengths to attract users of all types and needs.  Yet one thing hasn’t changed with legalization: marijuana is not for everyone, and particularly not for young developing brains.  That caution is given lip service in state laws, though little attention has been paid to the effects on underage users until now.

The American Academy of Pediatrics has developed a statement about the health effects of changes in marijuana legality and made recommendations about enforcement policies here.  Seattle pediatrician Dr. Wendy Sue Swanson offers an excellent summary of the concerns over marijuana safety in youth here.

My daily clinical work in a university health center confirms my belief that marijuana is a far more complicated drug than a society desiring legalization chooses to believe.

Cannabis use has become normalized (thanks to NORML) to the point of some parents smoking or ingesting THC with their adolescent and adult children as part of holiday gatherings, special family events (Super – Bowl, anyone?) and evenings-at-home  “wind-down” routines.  It is a challenge for a clinician to question the judgment of a parent who sees no problem in their 18 year old using marijuana to help sleep or reduce their stress level, especially since that is exactly what the parent is doing themselves.  After all, some parents reason, it is safer than alcohol and has never “killed” anyone in an overdose, right?

I guess it depends on the definition of “safer” when comparing two very different mood-altering drugs, both of which have been shown in studies to cause significant potentially long-lasting damaging effects in developing brains.  True, alcohol poisoning carries imminent risk of death and injury while heavy marijuana use may simply cause acute and chronic physical and mental health disorders.

Marijuana often exhibits paradoxical effects and is unpredictable even in experienced users.  It is a common factor in the history of adolescents and young adults with anxiety disorders, paranoia, recurring dissociative episodes and increasingly persistent depressive symptoms.  Beyond the mental health impacts,  I’m seeing puzzling morning nausea and abdominal discomfort in some regular users, sometimes to the point of vomiting, which prompts the user ingest even more marijuana to “help improve appetite”.  This appears to me to be a mild version of cannabinoid hyperemesis syndrome as GI workups, antiemetics and other meds fail to help until marijuana use is discontinued completely.  Many regular users remain unconvinced about the connection —  anecdotally I’m convinced we are seeing a pseudo-withdrawal syndrome from routine use of high THC concentration marijuana.

Other states considering legalization of recreational marijuana will learn a great deal from the Colorado and Washington experiment of growing, regulating, and taxing retail recreational marijuana.  I hope they will look carefully at the effects such laws have on the attitude and habits of youth who are now adopting life-long use patterns and are too often harmed by regular use of powerful chemicals that “older and wiser”  society members have deemed “safe” without sufficient data to back those claims.

Maybe we in Washington state should simply stick to growing moss.

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A Flower Unplucked

rainyroseA flower unplucked is but left to the falling,
And nothing is gained by not gathering roses.
~Robert Frost from “Asking for Roses”

 

Robin Williams spent his lifetime coaxing us to laugh till we cried,
making us cringe and too often wanting to hide from his manic intensity.

He left no flower unplucked and now he has left us weeping again
too soon,
petals shattered and strewn,
a lingering scent of roses rising.

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Places in the Heart

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Man has places in his heart which do not yet exist,
and into them enters suffering,
in order that they may have existence.
~
Leon Bloy

I see these new heart chambers forming every day.
Spaces filling overwhelmed as if water frozen,
with hurt
and loss
and despair.
So I try
to help patients let go of
their suffering,
let it pass, let its ice melt down,
allow it to pass through,
forgiving, forgiven,
their hearts changed
by a grace
flowing warm
from new found gratitude.

An Oath of Loyalty to Life

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It is…the refusal to take the oath of loyalty to life…
The man who kills a man kills a man.

The man who kills himself kills all men.
As far as he is concerned, he wipes out the world.
~ G.K. Chesterton

Suicide rates globally have climbed 60% in the past forty years,
particularly in developed countries.
Based on the distress of the patients I see every day,
the easy contemplation of suicide,
if only a passive “I wish I were dead”,
there will be no slowing of this trend.

…when there is no sense of loyalty to life, as stressful and messy as it can be,
…when there is no honoring of the holiness of the created being,
…when there is no resistance to the buffeting winds of life,
only a toppling over, taking out everything and everyone in the way,
…the world is wiped out, all people killed in one act of self-murder.

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Send Rain

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See, banks and brakes
Now, leavèd how thick! lacèd they are again
With fretty chervil, look, and fresh wind shakes
Them; birds build — but not I build; no, but strain,
Time’s eunuch, and not breed one work that wakes.

Mine, O thou Lord of life, send my roots rain
~Gerard Manley Hopkins from “Thou art indeed just, Lord”

As I look out through a tear-streaked window at the beginning of this dark day,
I fear I’m inadequate to the task before me.
Parched and struggling patients line my schedule;
they are anxious and already weary and barren, seeking something, anything
to ease their distress in a hostile world,
preferably an easy pill to swallow.
Nothing that hurts going down.

While others are thriving around them, they wilt and wither, wishing to die.

Lord of Life, equip me to find the words to say that might help.
May it be about more than genetics, neurotransmitters and physiology.

In this dry season for young lives, send your penetrating rain.
Reach down and shake our roots
fiercely
and slake our thirst.

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A Light From Within

window2People are like stained-glass windows.  They sparkle and shine when the sun is out, but when the darkness sets in, their true beauty is revealed only if there is a light from within.
~ Elisabeth Kübler-Ross

In my work I tend to meet people in their dark times.   It is rare for a patient to come to clinic because all is well.  They come because they are struggling to keep going, are running out of fuel, too blown about by the storms of life.

It is my responsibility to search out the light hidden dim within, to assist my patient to fight back the darkness from their inner resources and offer what little I have to stoke and feed the light from the outside.

I offer a sanctuary from the storm; in return I am bathed in their glow.

 

Lenten Grace — Even in the Wilderness

photo by Josh Scholten
photo by Josh Scholten

To be commanded to love God at all, let alone in the wilderness , is like being commanded to be well when we are sick, to sing for joy when we are dying of thirst, to run when our legs are broken. But this is the first and great commandment nonetheless. Even in the wilderness- especially in the wilderness – you shall love him.   
~Frederick Buechner

The wilderness can be a distant peak far removed from anything or anyone.  The wilderness can also be found in an isolated corner of the human heart kept far away from anything and anyone.   From my window on a clear day, I am fortunate to see the first if the cloud cover moves away.  From my perch on a round stool at work,  I am sometimes given access to the other many times every day.

There are times in one’s life when loving God as commanded seems impossible.  We are too broken, too frightened, too wary to trust God with our love and devotion.  Recognizing a diagnosis of wilderness of the heart is straight forward:  despair, discouragement, disappointment, lack of gratitude, lack of hope.  The treatment is to tame the wilderness with a covenantal obedience that reaches so deep there is no corner left untouched.   We must do as we are asked, even when it seems impossible, when it hurts, and when it means we may become even more profoundly isolated.

To be asked to love God is the invitation we were created for.   To be loved by Him is our rescue from the wilderness of the most distant peak, as well as from the most bitter and broken heart that beats within.

Transforming Anxiety

photo by Nate Gibson
photo by Nate Gibson

…difficulties are magnified out of all proportion simply by fear and anxiety. From the moment we wake until we fall asleep we must commend other people wholly and unreservedly to God and leave them in his hands, and transform our anxiety for them into prayers on their behalf:
With sorrow and with grief…
God will not be distracted.
~Dietrich Bonhoeffer in Letters from Prison

Every day I see college students who are so consumed by anxiety they become immobilized in their ability to move forward through the midst of life’s inevitable obstacles and difficulties.  They become so stuck in their own overwhelming feelings they can’t sleep or eat or think clearly, so distracted are they by their symptoms.  They self-medicate, self-injure and self-hate.  Being unable to nurture themselves or others, they wither like a young tree without roots deep enough to reach the vast reservoir that lies untapped beneath them.  In epidemic numbers, some decide to die, even before life really has fully begun for them.

I grieve for them in their distress.   My role is to help find healing solutions, whether it is counseling therapy, a break from school, or a medicine that may give some form of relief.  My heart knows the ultimate answer is not as simple as the right prescription.

We who are anxious are not trusting a Creator who does not suffer from attention deficit disorder and who is not distracted from His care for us even when we turn away in worry and sorrow.  We magnify our difficult circumstances by staying so tightly into ourselves, unable to look beyond our own eyelashes.  Instead we are to reach higher and deeper, through prayer, through service to others, through acknowledging there is power greater than ourselves.

So we are called to pray for ourselves and for others,  disabling anxiety and fear and transforming it to gratitude and grace.   No longer withering, we just might bloom.